Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $4,158.72 / $7,532.86	Facility		$724.34	$4,158.72	$7,532.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $756.82 / $1,343.78	Professional		$643.51	$756.82	$1,343.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $924.97 / $924.97 / $924.97	Professional		$924.97	$924.97	$924.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.52 / $2,787.52 / $2,828.19	Facility		$2,787.52	$2,787.52	$2,828.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.20 / $1,227.23 / $1,974.82	Professional		$856.20	$1,227.23	$1,974.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $5,302.65	Facility		$530.04	$530.04	$5,302.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.99 / $1,046.96 / $1,837.34	Professional		$804.99	$1,046.96	$1,837.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $910.95 / $1,477.05	Facility		$724.34	$910.95	$1,477.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $930.00 / $969.00	Professional		$507.00	$930.00	$969.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $980.60 / $1,964.40	Professional		$3.00	$980.60	$1,964.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.42 / $949.56 / $1,803.91	Professional		$640.42	$949.56	$1,803.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,794.32 / $16,394.00 / $17,524.30	Facility		$2,794.32	$16,394.00	$17,524.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,442.80 / $5,442.80 / $6,394.80	Professional		$5,442.80	$5,442.80	$6,394.80